학술논문
Effects of a National Safe Patient Handling Program on Nursing Injury Incidence Rates.
Document Type
Article
Author
Source
Subject
*MUSCULOSKELETAL system injuries
*WORK-related injuries risk factors
*CLINICAL competence
*HOSPITAL health promotion programs
*WORK-related injuries
*INDUSTRIAL safety
*LEADERSHIP
*LIFTING & carrying (Human mechanics)
*LONGITUDINAL method
*MATHEMATICAL statistics
*NURSING services administration
*PATIENT safety
*PERSONNEL management
*QUESTIONNAIRES
*REGRESSION analysis
*SURVEYS
*VETERANS' hospitals
*PARAMETERS (Statistics)
*PRE-tests & post-tests
*DISEASE incidence
*TRANSPORTATION of patients
*HOSPITAL nursing staff
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Language
ISSN
0002-0443
Abstract
OBJECTIVE: The objective of the study was to identify which components of a system-wide safe patient handling (SPH) program reduced musculoskeletal injury (MSI) due to patient handling among nurses. METHODS: The 3-year longitudinal study from 2008 to 2011 used a pretest-posttest design. The study was conducted in the Veterans Health Administration, and all medical centers participated. The outcome was 2011 MSI incidence rates due to patient-related handling for nurses, expressed as injuries per 10 000 full-time employees. RESULTS: Three organizational risk factors, bed days of care, facility complexity level, and baseline MSI incidence rate, were significantly associated with MSI incidence rate and explained 21 % of its variation. Five SPH components, including deployment of ceiling lifts and other new technologies, peer leader effectiveness, competency in SPH equipment use, facility coordinator link with safety committee, and peer leader training, uniquely accounted for an additional 23 % of the total variation. CONCLUSIONS: Findings provide evidence to support the effectiveness of a multicomponent approach to SPH programs given contextual considerations. [ABSTRACT FROM AUTHOR]